Abstract:
poor glycemic control increases the risk of both long-term consequences and acute
metabolic derangements, which are the main causes of morbidity and mortality. It can be
difficult for people with diabetes to maintain adequate glycemic control, particularly in
environments with minimal resources. There are limited studies describing the magnitude of
poor glycemic control and its predisposing factors in children and adolescents in Harar hospitals.
Objective:To assess the magnitude of glycemic control and its associated factors among type 1
Diabetic Mellituschildren and adolescentsin Jugol and Hiwot Fana compressive specialized
hospitalsNovember15,2022- January15, 2023.
Methods and materials:Facility-based cross-sectional study was employed on 231 children and
adolscents with type 1 diabetes mellitusin Jugoland Hiwot Fana compressive
SpecializedHospitals. Participants were selected consecutively in the follow-up clinic. Data were
collected usinga semi-structured questionnaire fromNovember15, 2022- January 15, 2023. Data
were entered into EPI data 7 and analyzed using the statistical package of social sciences version
26.The binarylogisticregression model was used to identify the association between dependent
and independent variables using an adjusted odds ratio witha 95% confidence interval.
Finally,the statistical significance was declared with a p-value of less than 0.05
Result: A total of231 children and adolescents with type one DM were included in the study.
The magnitude of poor glycemic control was 166 (71.9%) with95%CI 66.0-77.7%).In
multivariable analysis,the age of the child (AOR =0.12, 95%CI: 0.24-0.57), education of care
giver (AOR =4.05, 95% CI: 1.79-9.15), BMI of achild (AOR= 2.68, 95%CI: 1.05-6.88),
forbidden foods (AOR= 2.85, 95% CI: 1.11-7.29), were factors significantly associated withpoor
glycemic control.
Conclusion: Two third of participants had poor glycemic control. There was a statically
significant correlation with the age of a child, education of the caregiver, BMI, and forbidden
foods.To improve glycemic control, advice for meal selection should be made during follow-up
along with parent education.
